2016-484-E AMS - Sunrise Contracting Services for painting at Whitted Bldg.

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DocuSign Envelope ID: D62F2210-0C4B-4230-A651-1AABDDF342CE SUNRCON OP ID: CB CERCATE OF TI I I ILITY IN N C DATE(h1 YID 07127(/201201 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - Phone: 919-682-4814 CONTACT Christine Barnett The Sorgi Insurance Agency. PHONE FAX 16 Consultant Place Suite 102 Fax:919-682-4906 c No Ext: 919-682-4814 (IVC,No): 919-682-4906 Durham, NC 27707 ADDRESS:chriscsorgiinsurance.com Rodney Allison INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Erie Insurance Exchange 26271 INSURED Sunrise Contracting INSURER B:Builders Mutual Insurance Co. Services LLC 4603 Hillsborough Rd Ste H INSURER C: Durham, NC 27705 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR POLICY EFF POLICY EXP R WVD POLICY NUMBER W11 LIMITS (MMfDDfY (MMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY Q381350687 02/13/2016 02/13/2017 DAMAGE To RENTE PREMISES(Ea occurD rence) $ 2,000,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) _ $ 10,006 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY E° LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 000, 1 (Ea accident) $ 1,000,000 A ANY AUTO 0010141609 02/13/2016 02/13/2017 BODILY INJURY(Per person) $ ALL AUTOS X AUTODULED BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) x UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESSLIAB CLAIMS-MADE 0261370214 02/13/2016 02/13/2017 AGGREGATE $ 5,000,000 DED RETENTION $ $ WORKERS COMPENSATION X WCSTATU 0TH AND EMPLOYERS'LIABILITY TORY LIMITS ER YIN B ANYPROPRIETOR/PARTNERJEXECUUVE WCP2545512 11/18/2015 11/18/2016 E.LEACHACCIDENT $ 1,000,000 OFFICERJMEMBER EXCLUDED? N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE—POLICY LIMIT $ 1,000,000 A Inland Marine Q381350687 02/13/2016 02/13/2017 Contr Equ 41,500 A "Special Form" PROPERTY 02/13/2016 02/13/2017 Rental Eq 25,000 DESCRIPTION OF OPERATIONS 1.LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE a County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Oran g ty ACCORDANCE WITH THE POLICY PROVISIONS. • PO Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE 31/41iLILI C/8 4/0911--- I 4 ©1.988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD